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DR. NICHOLAS LIBERTY DDS
NPI 1063198513
Dentist in Kansas City, MO

Active since June 27, 2023PECOS Enrolled
2301 HOLMES ST, KANSAS CITY, MO 64108(215) 503-6215 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 10, 2025, Jun 27, 2024 (2 updates tracked since 2024).

About Dr. Nicholas Liberty Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS LIBERTY DDS (NPI 1063198513) is an individual dentist in Kansas City, Missouri, licensed in Missouri (2023025122) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1063198513
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. NICHOLAS LIBERTYCredential: DDS
Location Address2301 HOLMES STKansas City, MO 64108-2640
Mailing Address8008 Folsom Auburn RdFolsom, CA 95630-1664 · (916) 932-6037
Phone(215) 503-6215
Sole ProprietorNo
Enumeration DateJune 27, 2023
Last NPPES UpdateJuly 23, 20252 updates tracked since enumeration
NPPES CertifiedJuly 23, 2025
✔ NPI 1063198513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2023025122✔ Licensed in PA · DS044751✔ Licensed in CA · 110187
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License DS044751 (PA)
2301 HOLMES ST, Kansas City, MO 64108
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Secondary Practice Locations 3

Location 1650 E 25th StKansas City, MO 64108-2716 · Phone (816) 235-2100
Location 23223 N Broad StPhiladelphia, PA 19140-5007 · Phone (215) 707-2900
Location 38008 Folsom Auburn RdFolsom, CA 95630-1664 · Phone (916) 932-6037

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Combined Life, HRI Dental & Vision and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Liberty Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KYLA WESELY
Dietitian, Registered
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-2461
HANNAH BROWN
Nurse Practitioner (Family)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4070
AJANTA JINHEE RAMAN APRN
Nurse Practitioner (Adult Health)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1325
DR. JORDAN HENRY HELD MD
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4175
STEPHEN C SHOE PHARMD
Pharmacist
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-4293
LOVELIGHT N JONAH PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-1000
DIVYA GANESH REDDY
Student in an Organized Health Care Education/Training Program
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (517) 599-4748
DR. STEPHEN M EIKERMANN D.O.
Internal Medicine (Critical Care Medicine)
2301 HOLMES ST
KANSAS CITY, MO 64108
Jackson County (816) 404-5495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Liberty's NPI number?

The NPI number for Nicholas Liberty is 1063198513. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Nicholas Liberty located?

Nicholas Liberty practices at 2301 Holmes St, Kansas City, MO 64108. The listed phone number is (215) 503-6215.

What is Nicholas Liberty's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicholas Liberty enrolled in Medicare?

Yes. Nicholas Liberty is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Liberty accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Combined Life, HRI Dental & Vision, Humana and Paramount and 2 other insurers list Nicholas Liberty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Liberty was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.